Association of midlife value priorities with health-related quality of life, frailty and mortality among older men : a 26-year follow-up of the Helsinki Businessmen Study (HBS)

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Urtamo , A , Kautiainen , H , Pitkala , K H & Strandberg , T E 2018 , ' Association of midlife value priorities with health-related quality of life, frailty and mortality among older men : a 26-year follow-up of the Helsinki Businessmen Study (HBS) ' , Quality of Life Research , vol. 27 , no. 5 , pp. 1269-1275 . https://doi.org/10.1007/s11136-018-1805-8

Title: Association of midlife value priorities with health-related quality of life, frailty and mortality among older men : a 26-year follow-up of the Helsinki Businessmen Study (HBS)
Author: Urtamo, Annele; Kautiainen, Hannu; Pitkala, Kaisu H.; Strandberg, Timo E.
Contributor: University of Helsinki, Clinicum
University of Helsinki, Clinicum
University of Helsinki, Department of General Practice and Primary Health Care
University of Helsinki, Timo Strandberg / Principal Investigator
Date: 2018-05
Language: eng
Number of pages: 7
Belongs to series: Quality of Life Research
ISSN: 0962-9343
URI: http://hdl.handle.net/10138/301299
Abstract: Personal values influence behavior and decision making, but their long-term associations with health-related quality of life (HRQoL), frailty, and mortality are less clear. We studied these associations from midlife to old age in a 26-year follow-up of the Helsinki Businessmen Study (HBS) cohort. In 1974, 1320 clinically healthy men (born 1919-1934) reported in a 12-item questionnaire their personal values. In 2000, a mailed questionnaire, including assessment of HRQoL with RAND-36 (SF-36) instrument, was sent to survivors, and 1025 men responded. In 2000, the presence of phenotypic frailty was assessed using modified Fried criteria including indicators of shrinking, physical weakness, exhaustion, and physical inactivity. Mortality through December 31, 2000 was verified from national registries. Using a factor analysis, the data of the 12-item questionnaire of personal values were loaded in 3 factors: valuing health ("Health"), enjoyable and varying life ("Enjoyment"), and comfort and work-oriented life ("Work-life-balance"). Adjusted for age, we found a significant positive association between valuing "Health" in midlife and RAND-36 domains of Physical functioning (p = .032) and Vitality (p = .005) in old age. "Health" also predicted less frailty (p = .008), and "Enjoyment" was associated with higher mortality (p = .017). Value priorities of men assessed in midlife had long-term associations with HRQoL and frailty in old age, and they may also predict mortality.
Subject: Personal values
RAND-36
Functional aging
Prevention
Disability
MIDDLE-AGED MEN
CARDIOVASCULAR RISK
PERSONAL VALUES
BEHAVIOR
3141 Health care science
3142 Public health care science, environmental and occupational health
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